Mack, Benjamin F

Mack, Benjamin F is an individual health care provider with primary practice located at 1003 7Th St Ne , Devils Lake ND 58301-2719. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mack, Benjamin F can be contacted via phone (701) 662-8191.

Contact Information

Primary practice address
1003 7Th St Ne Devils Lake ND 58301-2719
Phone: (701) 662-8191
Fax: (701) 662-5757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2011 North Dakota

Profile Details

NPI number 1609070226
LBN Legal business name Mack, Benjamin F
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Jan 13th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609070226 NPPES
North Dakota MEDICAID 41412

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